CONSTRUCT — ENHANCE — TRANSFORM

RICHMOND HILL WEATHER
Portfolio Daily Covid-19 Screening



Mandatory Health Verification for all Workers and Visitors!




Contractors and Sub-Contractors are responsible for reviewing the procedures and implementing practices that prevent the transmission of COVID-19 for all employees working for them as well as all visitors, consultants, etc....

All workers and/or site visitors MUST complete this COVID-19 Health Questionnaire before beginning their work shift or entering the site.

The following questions are designed to ensure our Site Supervisors and Trade Partners can make informed and collaborative decisions that maintain the highest possible level of health and well being on our projects.





All personnel entering the project site must complete this form in full!



Leave this empty:





A: Are you currently experiencing any of the following new or worsening symptoms?

1: Fever or chills: Yes

No

2: Cough or barking cough, sore throat: Yes

No

3: Shortness of breath or trouble breathing: Yes

No

4: Decrease or loss of taste or smell: Yes

No

5: Nausea, vomiting or diarrhea: Yes

No

6: Tiredness, muscle or body aches: Yes

No

7: Headache: Yes

No

If you have an existing health condition that gives you symptoms, select "No", unless the symptom is new, different, or getting worse. * If mild tiredness, sore muscles, or joints occur within 48 hours after getting a COVID-19 vaccine, select "No" and continue to follow all public health measures. If symptoms last longer than 48 hours or worsen, select "Yes".

B: Does anyone in your household have one or more of the above symptoms and/or are waiting for test results after experiencing symptoms?

Yes

No

* If you are fully vaccinated or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No". If the household member's mild tiredness, sore muscles or joints occurred within 48 hours after getting a COVID-19 vaccine, select "No". If their symptoms last longer than 48 hours, select "Yes".

C: In the last 10 days have you been notified as a close contact of someone with COVID-19 or been told to stay home and self-isolate?

Yes

No

* If public health has advised that you do not need to self-isolate (e.g., you are fully vaccinated or have tested positive for COVID-19 in the last 90 days and since been cleared), select "No".

D: In the last 10 days, have you tested positive for COVID-19 on a rapid antigen test or a home-based self-testing kit?

Yes

No

* If you have since tested negative on a lab-based PCR test, select "No".

E: In the last 10 days, have you received a COVID-19 Alert exposure notification on your cell phone?

Yes

No

* If you have since tested negative on a lab-based PCR test, select "No".

F: In the last 14 days, have you traveled outside of Canada AND been advised to quarantine per the Federal Quarantine Requirements?

Yes

No



*** If you answered "YES" any of the above questions: DO NOT ENTER THIS LOCATION! ***
(Inform the Site Supervisor of your results, and follow the Provincial Public Health Advice.)



* Portfolio Contracting Inc. must keep a record of the site attendance contact information for all workers for 30 days before shredding or deleting.



Workers who refuse to complete this COVID-19 Daily Health Check Questionnaire as defined
by the Site-Specific Pandemic Preparedness Plan will be denied access to the project site.





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